Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3473

2. Registrant Information.

Registrant Reference Number: Prosar 1-19486524

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

11-AUG-09

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

10-AUG-09

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

Active(s)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 100-1091

Product Name: Reward Landscape And Aquatic Herbicide

• Active Ingredient(s)
  • DIQUAT
    • Guarantee/concentration 37.3 %

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Res. - Out Home / Rés - à l'ext.maison

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The product was sprayed around the edge of a 1/4 acre pond on 08/04/2009.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Fish / Poisson

3. Breed

Minnows, possible other freshwater fish

4. Number of animals affected

50

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>3 days <=1 wk / >3 jours <=1 sem

11. List all symptoms

System

• General
  • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Other / Autre

specify Possible run off into the pond

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-19486524: A reporter called to report the possible exposure of her fish to an aquatic herbicide containing the active ingredient Diquat. According to the reporter, the product was sprayed around the edge of a 1/4 acre pond on 08/04/2009. Three days after product application, there was a significant rainfall that raised the level of the pond. The reporter noticed dead minnows on 08/10/2009 and a massive fish kill on the day of the report (1st Subform III). The reporter was advised that diquat bonds strongly to soil particles even if the soil erodes into surface waters such as lakes, rivers, ponds, etc. If the product is applied directly to open water, the diquat binds to suspended particles in the water and disappears rapidly. The half-life in water is less than 48 hours. The reporter was advised that the signs reported are not consistent with the described product application. No further information was obtained.

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To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Death

19. Provide supplemental information here

The product is not toxic to fish, other organisms or wildlife when used according to label directions. Product is registered for use in aquatic weed control where fish are present.